Provider Demographics
NPI:1053352849
Name:CARVER, SUSAN (ATR/MPT)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:CARVER
Suffix:
Gender:F
Credentials:ATR/MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 W. MARKHAM ST., SLOT 547-11
Mailing Address - Street 2:UNIV. OF AR FOR MEDICAL SCIENCE/REHAB SERVICES
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7199
Mailing Address - Country:US
Mailing Address - Phone:501-265-9027
Mailing Address - Fax:501-296-1216
Practice Address - Street 1:4301 W. MARKHAM ST., SLOT 547-11
Practice Address - Street 2:UNIV. OF AR. FOR MEDICAL SCIENCE/REHAB. SERVICES
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7199
Practice Address - Country:US
Practice Address - Phone:501-265-9027
Practice Address - Fax:501-296-1216
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT905225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1477549756OtherNPI - UAMS